50D2032742 CLIA NUMBER - PROLIANCE SURGERY CENTER AT RAINIER

Laboratory Demographics

  • CLIA Code: 50D2032742
  • Facility Name: PROLIANCE SURGERY CENTER AT RAINIER
  • Facility Address: 3801 5TH ST SE STE 210
    PUYALLUP, WA
    ZIP 98374
  • Facility Phone: 253 445-4285
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN STEEDMAN
  • NPI Number: 1972565745
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2032742
LAB Type Ambulatory Surgery Center
Facility Name PROLIANCE SURGERY CENTER AT RAINIER
Street 3801 5TH ST SE STE 210
City PUYALLUP
State WA
ZIP 98374
Phone 253 445-4285
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2011
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director JOHN STEEDMAN

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This page was last updated on: 9/29/2025